Union Medical | |
304 S Lea Ave Roswell NM 88203-4562 | |
(575) 578-4815 | |
(575) 578-4814 |
Full Name | Union Medical |
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Speciality | Clinic/Center |
Location | 304 S Lea Ave, Roswell, New Mexico |
Authorized Official Name and Position | Gonzalo Corona (DIRECTOR) |
Authorized Official Contact | 5755784815 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Union Medical 304 S Lea Ave Roswell NM 88203-4562 Ph: (575) 578-4815 | Union Medical 304 S Lea Ave Roswell NM 88203-4562 Ph: (575) 578-4815 |
NPI Number | 1417212903 |
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Provider Enumeration Date | 07/10/2012 |
Last Update Date | 11/20/2018 |
Medicare PECOS PAC ID | 3577712199 |
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Medicare Enrollment ID | O20120925000682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417212903 | NPI | - | NPPES |
11773537 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD2007-0650 (New Mexico) | Secondary |
261QP2300X | Clinic/center - Primary Care | MD2007-0650 (New Mexico) | Primary |
Provider Name | Gonzalo Corona-gonzalez |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760685234 PECOS PAC ID: 9537346614 Enrollment ID: I20110527000546 |
Donald J Willis D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W Country Club Rd, Suite 9, Roswell, NM 88201 Phone: 575-624-2095 Fax: 575-627-5721 | |
Southern New Mexico Medical Association, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W. Country Club Rd, Roswell, NM 88201 Phone: 505-623-1442 Fax: 505-623-3835 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170 Fax: 629-216-0568 | |
Roswell Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 W Hobbs St, Roswell, NM 88203 Phone: 575-623-5263 | |
Roswell Osteopathic Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 W. Hobbs St., Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273 | |
Lovelace Health System, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1627 S Union Ave, Roswell, NM 88203 Phone: 575-208-0106 | |
Eye Catchers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 E College Blvd, Roswell, NM 88201 Phone: 575-625-9800 Fax: 575-624-1724 |